CE Survey 2009-2010

Questions marked with an asterisk (*) are mandatory.


Thank you for taking the time to complete this brief survey about your learning experiences with an AOTA Approved Provider of Continuing Education. Your responses help us evaluate the effectiveness of the Approved Provider Program and any need for changes to ensure the continued high standards of the program.


LEARNER INFORMATION
1
Professional Designation:
Occupational Therapist – AOTA Member
Occupational Therapist – Nonmember
Occupational Therapy Assistant – AOTA Member
Occupational Therapy Assistant – Nonmember
Other, Please Specify
2
Do you use AOTA’s CE WebFind to search for CE activities?
ORGANIZATION INFORMATION
3
Please provide the name of the organization that offered the CE activity
4
Provide date the CE activity was taken.
    Month   Day   Year   Time
Date
5
Have you taken a CE activity from this organization in the past?
6
What is your OVERALL satisfaction with this organization as a CE provider?
Not Satisfied Somewhat Satisfied Neutral Satisfied Very Satisfied
7
Would you recommend this CE organization to others?
8
Were the CE organization’s policies about cancellation and complaint resolution made clear to you?
9
Did you receive a certificate or other documentation that clearly communicated the credit you received?
CE ACTIVITY INFORMATION
10
Please provide the title of the CE activity you took from this organization.
11
Please indicate the format of the CE activity:
Live workshop
Distance Learning – Independent (e.g., CD-ROM, self-study, Internet self-study)
Distance Learning – Interactive (with instructor involved - e.g., satellite broadcast, or phone conference)
12
Please indicate the educational level of the CE activity:
Introductory
Advanced
Intermediate
13
Did you agree with the level of the course as it was advertised?
14
If no, was it advertised as:
Too high
Too low
15
Did the CE activity meet your expectations?
Not Satisfied Somewhat Satisfied Neutral Satisfied Very Satisfied
16
Did the CE activity fulfill your professional development goals?
Not Satisfied Somewhat Satisfied Neutral Satisfied Very Satisfied
17
Having completed the CE activity, do you feel the course objectives were met?
Not Satisfied Somewhat Satisfied Neutral Satisfied Very Satisfied
18
Was the instructor competent in the content area?
Not Satisfied Somewhat Satisfied Neutral Satisfied Very Satisfied
19
Were you notified of satisfactory completion requirements (e.g., attendance, exam, etc.) prior to participating in this CE activity?
20
Were you notified of prerequisites, educational level, and target audience prior to this CE activity?
21
Were you informed of intended learning outcomes/objectives?
22
If Yes, were they clearly stated?
23
Did you receive feedback, (such as a question/answer period or results of on-line testing) during and/or after the CE activity?
24
Would you recommend this CE activity to others?
25
When you registered for this CE activity, were you aware that this provider was an AOTA Approved Provider?
26
If yes, how did this organization being an AOTA Approved Provider influence your decision to register? Please select one answer.
I only take CE activities from AOTA Approved Providers
I prefer to take CE activities from AOTA Approved Providers
Being an AOTA approved provider did not influence my decision
Other, Please Specify
27
How important are the following in determining which CE activities you take?
1
Not Important
2
Somewhat Important
3
Neutral
4
Important
5
Very Important
Being an AOTA Approved Provider
Reputation of the instructor
Cost of the CE activity
Location of the CE activity
State regulatory approval of the CE activity
SUMMARY
28
Please rate your level of OVERALL SATISFACTION with each of the following.
1
Not Satisfied
2
Somewhat Satisfied
3
Neutral
4
Satisfied
5
Very Satisfied
Value for the price
Quality of content material
Quality of presentation
Ease of registration
Timely confirmation after registration for CE activity
29
Please provide the OPTIONAL information:
Name: 
Company: 
Address 1: 
Address 2: 
City/Town: 
State/Province: 
Zip/Postal Code: 
Country: 
Email Address: 
If you have other comments that you would like to share about this CE activity or this CE provider, please e-mail APP@aota.org. In the message please identify the provider and CE activity and any other identifying information you wish to share.

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